Lumbar Disc Herniation

Abstract

Purpose of Review

Substantial advancements have been made in the cause, diagnosis, imaging, and treatment options available for patients with lumbar disc herniation (LDH). We examined the current evidence and highlight the concepts on the frontline of discovery in LDH.

Recent Findings

There are a myriad of novel etiologies of LDH detailed in recent literature including inflammatory factors and infectious microbes. In the clinical setting, recent data focuses on improvements in computer tomography as a diagnostic tool and non-traditional injection options including tumor necrosis alpha inhibitors and platelet-rich plasma. Operative treatment outcomes have focused on minimally invasive endoscopic approaches and demonstrated robust 5-year post-operative outcomes.

Summary

Advances in the molecular etiology of LDH will continue to drive novel treatment options. The role of endoscopic treatment for LDH will continue to evolve. Further research into10-year outcomes will be necessary as this surgical approach continues to gain widespread popularity.

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Correspondence to Brian J. Neuman.

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Raj M. Amin and Nicholas S. Andrade declare that they have no conflict of interest.

Brian J. Neuman reports grants from Depuy Synthes, outside of the submitted work.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Treatment of Lumbar Degenerative Pathology

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Amin, R.M., Andrade, N.S. & Neuman, B.J. Lumbar Disc Herniation. Curr Rev Musculoskelet Med 10, 507–516 (2017). https://doi.org/10.1007/s12178-017-9441-4

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Keywords

  • Lumbar disc herniation
  • Diagnosis of lumbar disc herniation
  • Non-operative treatment of lumbar disc herniation
  • Operative treatment of lumbar disc herniation
  • Minimally invasive discectomy
  • Endoscopic discectomy